Reminder: Medicaid Revalidation Is Required – Act Early to Avoid Payment Disruptions

Date: April 23, 2026

Attention: All Providers

Important Reminder for All Providers

All Medicaid-enrolled providers are required to revalidate their enrollment by their assigned due date to remain actively enrolled and eligible for payment. Revalidation is completed through the Provider Enrollment and Management System (PEMS).

• You can begin revalidation up to 180 days (6 months) before your due date.
• Starting early helps avoid delays, deficiencies, or unintended disenrollment.

Why Revalidation Is Critical

Providers who do not complete revalidation on time may experience:

• Disenrollment from Texas Medicaid
• Nonpayment for services rendered to Medicaid members
• Requirement to re-enroll, with no retroactive payment for services provided while disenrolled

What Providers Should Do Now

1. Log in to PEMS
   • Confirm your revalidation due date
   • Check your application status (not started, draft, or pending response)
2. Start or continue your revalidation application
   • Complete all required sections
   • Upload requested documentation
   • Respond promptly to any deficiency or follow-up requests
3. Ensure your application reaches a “Closed-Enrolled” status by your due date

Helpful Videos

To support a smooth revalidation process, the following resources are available:

• Revalidating an Individual: A stepbystep video for individual providers on updating personal information and submitting Medicaid revalidation in PEMS.
• Revalidating a Performing Provider: A stepbystep video for performing providers on updating personal information and submitting Medicaid revalidation in PEMS.
• Revalidating a Clinic/Group Practice or Facility: A step-by-step video for Clinic/Group Practice or Facilities on updating personal information and submitting Medicaid revalidation in PEMS.

Written Guides and Interactive Tools

• Provider Enrollment Help Hub: A central “how-to” resource for understanding provider enrollment, revalidation, and account management in PEMS.
• NPI Type and Program Selection | TMHP: Provides an interactive customized checklist based on your provider type, program participation, and enrollment role (e.g., individual, group, or facility).

Need Assistance?

For standard inquiries, contact Texas Medicaid & Healthcare Partnership (TMHP):

• Email: Provider.Relations@tmhp.com
• Phone: TMHP Contact Center at 800-925-9126 or TMHP-CSHCN Services Program at 800-568-2413

For escalations, contact HHSC via the HHSC Provider Enrollment mailbox, at ProviderEnrollment@hhs.texas.gov

If you have any questions, please email Provider Relations at providerrelations@texaschildrens.org. 

For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.